New Procurement Policy - Essential Medicines List (EML) - Approved list of New Essential Medicines and Additional Medicines 2015

GOVERNMENT OF ANDHRA PRADESH

ABSTRACT

New Procurement Policy - 

Essential Medicines List (EML) - 

Approved list of New Essential Medicines and 

Additional Medicines 2015-Orders – Issued.

HEALTH MEDICAL AND FAMILY WELFARE (H2) DEPARTMENT

G.O.MS.No. 123 Dated:05-10-2015

Read the following:

1. Go.Rt.No.1357, HM FW (M1) Department, dt.19.10.2009.

2. G.O.Ms.No.204, HM & FW (M2) Dept., dt.17.12.2013.

3. G.O.Ms.No.101, HM & FW (M1) Dept., dt.29.05.2014.

4. From the MD, APMSIDC, AP., Hyderabad, File No.40/ EML/AML

PH5/2015-16, dt.09-04-2015.

                                        ******

ORDER:

             In the letter 1st read above, the Govt. have issued the New Procurement Policy of Andhra Pradesh (2009) including the procedure to be adopted to make available essential medicines of good quality, at all health facilities in the State at all times, procured at competitive prices in a transparent manner and to promote

rational use of medicines.

2. In the Government orders 2nd and 3rd read above, the Govt. have issued orders approving a list of Essential Medicine List and Additional medicine list and requested the M.D., A.P.M.S.I.D.C., Hyd. and other HODs, to procure only those medicines included in the AML/EML list duly following the procedure laid down in

the reference 1st read above.

3. In the letter 4th read above, the M.D., A.P.M.S.I.D.C., Hyderabad has informed that the EML list is reviewed by the Standing Expert Committee for EML preparation. The Expert Committee, Chaired by the Director of Medical Education, has carefully reviewed the burden of various diseases in the state; existing protocols for treatments of various diseases; the medicines required for the management of emergency medical problems and life saving treatment; and costeffectiveness and efficacy of various medicines available in the market and also held extensive consultations with pharmacologists, clinicians, super-specialists, etc. and recommended a list of " revised Essential Medicines" and “Additional medicine list” that satisfy the medical care needs of the majority of the population that are safe, effective and to be made available in adequate quantity, dosage, form and fair price, for use by all Government Hospitals, Health Facilities and allied health institutions. After detailed discussions, the committee prepared a revised list of new EML/AML of 2015. Further, the list needs to be updated periodically once in 2

years in view of the rapid developments taking place in the pharmaceutical research and new medicines being introduced in the market on a continuous basis. He has, therefore, requested the Govt. to approve a New EML and AML consisting of564 medicines, i.e. U-159, S-126,T-69 and AML-210 and issue orders in the matter.

4. The Government, after careful examination of the matter herebyy accept the recommendations of the Standing Expert Committee and hereby order that all Hospitals, Health Facilities, and other Health Institutions under the control of HM & FW Dept., and the programmes assisted by the Government of Andhra Pradesh

(FDHS, Epidemic, NVBDCP,SHP,APSACS) shall use only those Medicines listed in the 'Essential Medicines List-2015(EML-2015, which in Annexed to this order.

5. Further to address the specific requirements of the advanced specialties and the super-specialties , the Government also approve the 'Additional Medicines List'-2015(AML-2015) which are Annexed to this Order.

6. The medicines included in the EML2015 have been selected through an evidence based process with due regard to relevance, quality, safety, efficacy and comparative cost-effectiveness. These medicines will be made available at all health facilities under the control of the Health, Medical and Family Welfare Department.

Supply of medicines to the primary health centers (PHCs), Urban Health Centers (UHCs) and other primary health facilities shall be limited to those listed as 'Universal' (U) in the EML 2015. The secondary health facilities (CHCs, Area Hospitals and Urban Dispensaries) shall utilize those medicines listed as Universal

(U) and Secondary (S). Whereas, the tertiary hospitals (teaching, district and super-specialty hospitals) will have access to all drugs included in the EML 2015 as well as medicines included in AML 2015 and are for both centralized and decentralized procurement. The medicines other than the EML for National Disease Control Programmes, like RNTCP, NLEP, and other requirements of state

departments like Rural Development, ICDS etc., shall be procured by APMSIDC based on the requirement of HOD's.

7. The Managing Director of Andhra Pradesh Health, Medical Services and Infrastructure Development Corporation (APMSIDC) and all Heads of the Departments under the overall charge of Health, Medical and Family Welfare Department shall henceforth procure, store and dispense only those medicines included in the EML and AML 2015 based on the need under Centralized and decentralized Procurements. All medicines included in the lists contain International Non-proprietary Names (INN) or Generic Names. The medicines included in the list will be procured, strictly adhering to the Pharmacopeia standards, Route of Administration, Unit Pack, Strength and Specifications mentioned in this order.

8. All Heads of Department shall issue detailed instructions to all facilities and functionaries under their control regarding rational and effective use of medicines included in the EML and AML. The MD, APMSIDC shall publish and distribute copies of the EML and AML to all health facilities and disseminate information regarding their use amongst all health functionaries of the state. The Commissioner of Health and Family Welfare shall organize workshops for all medical professionals of the Health, Medical and Family Welfare Department regarding the rational use of medicines and strict adherence to the use of medicines listed in this Order. 

9. By implementing the essential medicines concept, the Government of Andhra Pradesh expects to improve the efficiency of drug management in all health facilities. The Government instructed all HODs to ensure strict compliance with the Government Orders issued in G.O.Ms No. 1357 HM&FW Department, dated 19

October 2009. All measures shall be taken by all HODs to ensure that:

(i) All essential drugs shall be available at all health facilities in the state at all times of the year.

(ii) Stocks required for at least three months should be maintained at all times.

(iii) Every effort shall be made to completely eliminate expired drugs, drug wastage, pilferage and stock-outs.

(iv) High standards of quality control and quality assurance measures shall be maintained and monitored.

(v) All drugs in the EML and AML shall be purchased only from pharmaceutical companies who follow good manufacturing practices (GMP) stipulated by the drugs control authorities and APMSIDC. All supplies will be subject to strict check in sales of Govt. and in identified private labs of quality parameters.

(vi) No doctor of the HM&FW Department shall procure, prescribe, dispense, or recommend any medicine that is not included in the EML / AML without prior approval of the Government. Any violation of these instructions shall attract disciplinary action.

(vii) A comprehensive monitoring system to ensure that the above stipulations are fully implemented, shall be designed and operationalized by M.D., APMISDC within three months, duly involving the concerned Heads of Departments.

10. The M.D., A.P.M.S.I.D.C., Hyderabad and other Heads of Department shall procure only those medicines included in the AML / EML list duly following the procedure laid down in the reference first read above. All hospitals under other departments of Government of Andhra Pradesh and the private sector hospitals,

especially those included in Rajiv Aarogyasri Network, are also strongly encouraged to use the medicines notified in this Order.

11. The Managing Director, A.P.M.S.I.D.C., Hyderabad, shall take necessary further action accordingly.

(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH)

L.V. SUBRAHMANYAM

SPL. CHIEF SECRETARY TO GOVERNMENT

Annexure to G.O.MS.No. 123, HM&FW (H2) Dept., dt.05-10-2015 EML

S.No	Drug code	Group Name	Drug Name	Strength	Cate gory
1	1334	Anesthetics	Atracurium Injection 25mg/2.5ml	25mg/2.5ml	T
2	53	Anesthetics	BupivacaineHcl Hcl Injection IP 0.5%, in 20ml vial	0.5% in 20ml vial	S
3	1697	Anesthetics	BupivacaineHcl (Spinal)	BupivacaineHcl Hcl Injection 0.5% and Anhydrous Glucose or glucose monohydrate 80mg BP	S
4	666	Anesthetics	Glycopyrrolate Injection    0.2 mg / ml in 1ml amp USP	0.2 mg / ml in 1ml amp USP	S
5	315	Anesthetics	Halothane for Inhalation (Contains Halothane BP) 250ml	250ml	S
6	355	Anesthetics	Isoflurane for Inhalation (Contains Isoflurane BP) 100ml	100ml	S
7	404	Anesthetics	Ketamine Hcl Injection IP 50mg / ml in 10-ml Vial	50mg / ml in 10-ml Vial	S
8	757	Anesthetics	Lignocaine Hcl Gel IP 2% in 30 gms tube	2% in 30 gms tube	U
9	420	Anesthetics	Lignocaine and Adrenaline Injection IP (Contains Lignocaine Hcl 2% and Adrenaline 1:200 000) in 30 ml Vial	(Contains Lignocaine Hcl 2% and Adrenaline 1:200 000) in 30 ml Vial	S
10	1857	Anesthetics	Lignocaine Eye Drops BP 4 % in 5ml vial	4 % in 5ml	S
11	417	Anesthetics	Lignocaine Hcl Injection    IP 5% in 2ml ampoule	5% in 2ml ampoule	U
12	409.01	Anesthetics	Lignocaine Hcl Injection 2% in 30 ml Vial	2% in 30 ml Vial	U
13	1829	Anesthetics	Midazolam Inj 1mg/ml 10ml	Inj 1mg/ml 10ml	S
14	1323	Anesthetics	Propofol Injection BP 1% in 20ml vial	1% in 20ml vial	S
15	1326	Anesthetics	Sevoflurane for Inhalation in 250ml bottle (contains Sevoflurane )(USP)	250ml bottle	T
16	664	Anesthetics	Thiopentone Sodium Injection IP 0.5gm /ml	0.5gm /ml	S
17	672	Anesthetics	Timolol Maleate eye Drops IP 0.25%, 5 ml	0.25%, 5 ml	S
18	1908	Anesthetics	Trichlofos BP 500mg/5ml BP	500mg/5ml BP	T
19	2119	Analgesic And Antipyretic	Paracetamol Solution for Infusion (10mg/ml) in 100ml glass bottle i.e.1gm/100ml BFS/FFS	1gm/100ml	S
20	2091	Analgesic And Muscle Relaxant	Flupirtine Maleate Capsules 100mg	100mg	S
21	40.02	Analgesic, Antipyretic & Anti- Inflammatory Drugs	Acetyl Salicylic Acid Tablets IP 150mg	150mg	U
22	197	Analgesic, Antipyretic & Anti- Inflammatory Drugs	Diclofenac Sodium 50mg Tablets IP (Enteric coated Tablets)	50mg	U
23	198	Analgesic, Antipyretic & Anti- Inflammatory Drugs	Diclofenac Sodium Injection IP25 mg / ml in 3ml ampoule	25 mg / ml in 3ml ampoule	U

24	2080	Analgesic, Antipyretic & Anti- Inflammatory Drugs	Diclofenac Sodium Tab100mg SR	100mg SR	S
25	1804	Analgesic, Antipyretic & Anti- Inflammatory Drugs	Fentanyl Inj. 100mcg/2ml	100mcg/2ml	T
26	1865	Analgesic, Antipyretic & Anti- Inflammatory Drugs	Mefenamic acid Tablets BP 500 mg	500 mg	T
27	525	Analgesic, Antipyretic & Anti- Inflammatory Drugs	Paracetamol   Tablets IP 500 mg	500 mg	U
28	527.01	Analgesic, Antipyretic & Anti- Inflammatory Drugs	Paracetamol Injection 300mg in 2ml	300mg in 2ml	U
29	1701	Analgesic, Antipyretic & Anti- Inflammatory Drugs	Paracetamol Syrup IP (Non Alcohol based) 125 mg / 5 ml in 60ml	125 mg / 5 ml in 60ml	U
30	582	Analgesic, Antipyretic & Anti- Inflammatory Drugs	Pentazocine lactate Injection IP30 mg / ml in 1ml Amp	30 mg / ml in 1ml Amp	U
31	1325	Analgesic, Antipyretic & Anti- Inflammatory Drugs	Serratiopeptidase tablets IP 10mg	10mg	U
32	1329	Analgesic, Antipyretic & Anti- Inflammatory Drugs	Tramadol Injection Each ml Contains Tramadol Hcl BP 100 mg /2ml	100 mg /2ml	S
33	2093	Anti Bacterial	Fucidin Cream 20gm	20gm	U
34	2103	Anti Cancer	Trastuzumab Inj. (r-DNA Origin) 440mg vial	440mg	T
35	2012	Anti Depressant	Sertraline Tab 50mg	50mg	T
36	2074	Anti Fungal	Clobetasol Cream 0.05% 10gm	0.05% 10gm	S
37	2143	Anti Hypertensive	Frusemide 20mg + Spironolactone 50mg	Frusemide 20mg + Spironolactone 50mg	S
38	1832	Anti Malarial	Artisunate Inj. 60mg/ml 2ml vial	60mg/ml 2ml vial	U
39	107	Anti Malarial	Chloroquine Phosphate Injection IP 40 mg / ml in 3ml amp	40 mg / ml in 3ml amp	U
40	1625	Anti Malarial	Chloroquine Phosphate Syrup 50 mg / 5 ml in 60ml	50 mg / 5 ml in 60ml	U
41	106	Anti Malarial	Chloroquine Phosphate Tablets IP 250 mg base(Equivalent to 155 mg of Chloroquine )	250 mg base(Equivalent to 155 mg of Chloroquine )	U
42	2097	Anti Malarial	Hydroxy Chloroquine Tab 200mg	200mg	S
43	1866	Anti Malarial	Mefloquine Hcl IP Tablets 250mg	250mg	T
44	1519	Anti Malarial	Primaquine Tablets IP 7.5 mg	7.5 mg	U
45	1521	Anti Malarial	Primaquine Tablets IP 2.5 mg	2.5 mg	U

46	1474	Anti Malarial	Sulfadoxine + Pyrimethamine 500 mg Sulfadoxine + 25 mg Pyrimethamine Tablets IP	Sulfadoxine + Pyrimethamine 500 mg Sulfadoxine + 25 mg Pyrimethamine Tablets IP	U
47	1875	Anti Neoplastic And Immuno Suppressant Medicines	Methotrexate Injection IP 50 mg / ml in 2ml amp	50 mg / ml in 2ml amp	T
48	1749	Anti Parkinsonism	Cabergoline Tablets 0.5mg	0.5mg	T
49	1172	Anti Parkinsonism	Trihexyphenidyl Hcl Tablets IP 2mg	2mg	S
50	1643	Anti Protozoal	Metronidazole benzoate Oral Suspention IP 100mg/5ml in 60ml	100mg/5ml in 60ml	U
51	440	Anti Protozoal	Metronidazole IV Infusion IP 500mg in 100 ml	500mg in 100 ml	U
52	1642	Anti Protozoal	Metronidazole Tablets IP Film coated 200 mg	200 mg	U
53	252	Anti Retro Viral	Enalapril Tab 10mg	10 mg	S
54	2160	Anti Retro Viral	Tenofovir Tab 300mg	300mg	S
55	1290	Antiallergics & Drugs Used In Anaphylaxis	Adrenaline Bitartrate Injection IP 1 mg / ml in 1ml Amp	1 mg / ml in 1ml Amp	U
56	1123	Antiallergics & Drugs Used In Anaphylaxis	Cetirizine Hcl Tablets IP 10mg	10mg	U
57	1626	Antiallergics & Drugs Used In Anaphylaxis	Chlorpheniramine Maleate Syrup 2 mg / 5ml in 60ml bottle	2 mg / 5ml in 60ml bottle	U
58	741	Antiallergics & Drugs Used In Anaphylaxis	Chlorpheniramine Maleate Tablets IP 4 mg	4 mg	U
59	221.02	Antiallergics & Drugs Used In Anaphylaxis	Dexamethasone Injection IP 8 mg / 2ml	8 mg / 2ml	U
60	1300	Antiallergics & Drugs Used In Anaphylaxis	Hydrocortisone Sodium Succinate Injection IP contains Hydrocortisone 100 mg/in 5ml vial	100 mg/in 5ml vial	U
61	1310	Antiallergics & Drugs Used In Anaphylaxis	Methyl Prednisolone acetate Inj. IP 500mg	500mg	T
62	579	Antiallergics & Drugs Used In Anaphylaxis	Pheniramine Maleate Injection IP 22.75 mg / ml in 2ml amp	22.75 mg / ml in 2ml amp	U
63	576	Antiallergics & Drugs Used In Anaphylaxis	Prednisolone Tablets IP 5mg	5mg	U
64	566	Antiallergics & Drugs Used In Anaphylaxis	Promethazine Hcl Injection IP 25 mg / ml in 2ml ampoule	25 mg / ml in 2ml ampoule	U
65	564.01	Antiallergics & Drugs Used In Anaphylaxis	Promethazine Hcl Syrup IP 5 mg / 5 ml in 60ml	5 mg / 5 ml in 60ml	U
66	1479	Antibacterial	Acyclovir Injection 250mg	250mg	T
67	1188	Antibacterial	Amikacin Sulphate Injection IP sulphate 100 mg / 2 ml	100 mg / 2 ml	S
68	1189	Antibacterial	Amikacin Sulphate Injection IP sulphate 500 mg / 2 ml	500 mg / 2 ml	S
69	6	Antibacterial	Amoxicillin Capsules IP 250 mg	250 mg	U
70	7	Antibacterial	Amoxicillin Capsules IP 500 mg	500 mg	U
71	8	Antibacterial	Amoxicillin oral suspension IP 125 mg / 5 ml in 30ml	125 mg / 5 ml in 30ml	U

72	1342	Antibacterial	Amoxycillin +Clavulanic Acid Oral Suspension	Amoxycillin and Potassium Clavulanate Oral Suspension I.P. Amoxycillin 200 mg/5 ml + Potassium Clavulanate 28.5mg/5 ml in 30ml bottle	U
73	1347	Antibacterial	Amoxycillin 1gm + 200mg Clavulanic Acid Injection	1 gm Amoxycillin + 200mg Potassium Clavulanate Injection I.P.	S
74	1341	Antibacterial	Amoxycillin 250mg +125mg Clavulanic Acid Tablets	250 mg Amoxycillin +125 mg Potassium Clavulanate Tablets	S
75	1340	Antibacterial	Amoxycillin 500mg +125mg Clavulanic Acid Tablets	500 mg Amoxycillin + 125 mg Potassium Clavulanate Tablets IP	U
76	1	Antibacterial	Ampicillin Injection IP 500 mg vial	500 mg vial	U
77	1477	Antibacterial	Azithromycin Tablets IP 500 mg	500 mg	U
78	1699	Antibacterial	Azithromycin Dispersible tablet 100 mg	100 mg	S
79	1622	Antibacterial	Cefixime Tablets IP 200 mg	200 mg	U
80	1621	Antibacterial	Cefixime Dispersible tablet USP 100 mg	100 mg	U
81	1719	Antibacterial	Cefoperazon 1gm + Sulbactum 500mg	1 gm Cefoperazone + 500 mg Sulbactum Injection	T
82	1355	Antibacterial	Cefotaxime Sodium Injection IP 1000 mg	1000 mg	U
83	1527	Antibacterial	Cefotaxime Sodium Injection IP 250mg	250mg	S
84	1381	Antibacterial	Ceftazidime Inj IP 1gm	1gm	T
85	1360	Antibacterial	Ceftriaxone Injection IP 1gm	1gm	S
86	1752	Antibacterial	Cefuroxime Injection IP 250 mg	250 mg	T
87	1751	Antibacterial	Cefuroxime Injection IP 750 mg	750 mg	T
88	94	Antibacterial	Ciprofloxacin Tablets IP 500 mg	500 mg	U
89	95	Antibacterial	Ciprofloxacin Injection IP 200mg/100ml BFS / FFS	200mg/100ml	U
90	1671	Antibacterial	Clotrimazole Cream IP 2% 30gm	30gm	U
91	1389	Antibacterial	Clotrimazole Pessaries IP 100 mg	100 mg	U
92	97	Antibacterial	Cotrimaxazole Tabs. IP 160mg+800mg (Trimethoprim+Sulphamethoxaz ole)	160mg + 800 mg	U

93	98	Antibacterial	Cotrimaxazole Syrup IP. 40mg+200mg	Co-trimoxazole oral suspension I.P Trimethoprim40mg + sulphamethoxazole 200mg/5ml in 50ml bottle	U
94	192	Antibacterial	Doxycycline Hcl Capsule IP 100 mg	100 mg	U
95	1192	Antibacterial	Erythromycin Tab 500mg	500mg	S
96	294.01	Antibacterial	Gentamicin Injection IP 40 mg / ml in 2ml Vial	40 mg / ml in 2ml Vial	U
97	1630	Antibacterial	Griseofulvin Tablets IP 250 mg	250 mg	T
98	308	Antibacterial	Griseofulvin Tablets IP 125 mg	125 mg	S
99	1724	Antibacterial	Linezolid   Tablets IP 600 mg	600 mg	S
100	1700	Antibacterial	Meropenam Injection IP 1gm for vial	1gm for vial	T
101	438.01	Antibacterial	Metronidazole Tablets IP 400 mg (Film Coated )	400 mg	U
102	1896	Antibacterial	Nitrofurantoin Tablets IP 100 mg	100 mg	S
103	482	Antibacterial	Norfloxacin Tablets IP 400mg	400mg	U
104	1902	Antibacterial	Ofloxacin Tablets 100mg	100mg	S
105	1528	Antibacterial	Ofloxacin Tablets IP 200 mg	200 mg	T
106	1702	Antibacterial	Ofloxacin Suspension 50 mg /5 ml , 60 ml	50 mg /5 ml , 60 ml	U
107	1652	Antibacterial	Piperacillin + tazobactum Injection 4gm +0.5gm	Piperacillin + Tazobactum Injection 4gm +0.5gm	T
108	1830	Antibacterial	Vancomycin Intravenous Infusion IP Inj 1gm Vial	1gm Vial	T
109	136	Anticonvulsants / Antiepileptic	Carbmazepine Tablets   (Film coated) 100mg	100mg	S
110	1441	Anticonvulsants /	Magnesium Sulphate Injection IP 500 mg /ml, in 2ml ampoule	500 mg /ml, in 2ml ampoule	U
111	752	Antiepileptic	Phenytoin sodium Injection IP 50mg/ml in 5ml vial	50mg/ml in 5ml vial	S
112	1651	Anticonvulsants /	Phenytoin sodium Syrup 25mg/5ml 60ml bottle	25mg/5ml 60ml bottle	S
113	1167	Antiepileptic	Phenytoin sodium Tablets IP 100mg	100mg	S

114	2169	Antidote For Snake Poisoning	Snake Venum Anti Serum IP Liquid Form	Snake Venum Anti Serum IPLiquid Form Polyvalent Anti Snake Venum, 10 ml Vial Serum Enzyme Refined. Contain Equivalent of Purified Equine Globulins, 1ml of Reconstituted Serum Neutralizes 0.6mg of Dried Cobra Naja-Naja Venom. 0.45mg of The Dried Common Kraite Bungaral	T
115	1730	Antidotes And Other Substances Used In Poisoning	Activated Charcoal IP (Powder) 500gm	500gm	T
116	632	Antidotes And Other Substances Used In Poisoning	Antisnake Venom Injection	Snake Venom Antiserum I.P. Polyvalent, Enzyme Refined, Equine Immunoglobulin. Each 1ml upon reconstitution to 10ml with water for injection neutralizes not less than 0.60mg.Of dried Indian cobra(naja naja )Venom 0.45mg. Of dried, common krait(Bungaruscaerule us)Venom 0.60mg. Of dried, Russell's viper(baoia russelli) venom 0.45mg. of driedawsealedvipes(Ec hiscartinatus)venom	U
117	2066	Antidotes And Other Substances Used In Poisoning	Atropine sulphate injection 0.6%, 10ml vials	10ml vials	U
118	1693	Antidotes And Other Substances Used In Poisoning	Atropine Sulphate Injection IP 0.6 mg / ml	0.6 mg / ml	U
119	1265	Antidotes And Other Substances Used In Poisoning	Pralidoxime Chloride (2-PAM)	Pralidoxime Chloride (2-PAM) Injection IP 1 grm Lyophilized Vials with diluents 20ml amp	U
120	1200	Anti-infective	Albendazole Suspension 200 mg/ 5 ml in 10ml bottle	200 mg/ 5 ml in 10ml bottle	U
121	736	Anti infective	Albendazole Tablets (Chewable) IP 400 mg	400 mg	U
122	201	Anti infective	Diethylcarbamazine Citrate Tablets IP 100mg	100mg	U
123	1846	Anti infective	Ivermectin Tablets USP 3mg	3mg	T
124	1914	Anti infective	Praziquantel Tablets IP 600 mg	600 mg	T
125	1613	Antiviral	Aciclovir Ointment USP 5% 10 gm tube	10 gm tube	S
126	1691	Antiviral	Aciclovir Tablets IP 400 mg	400 mg	S
127	2062	Cardio Vascular	Acetyl Salicylic acid Tab 75mg	75mg	U

See the GO.